Do Narcissists Self-Harm?

I'm a caregiver for my mother who has schizoaffective disorder as well as covert NPD. I am autistic and she often pushes my boundaries trying to get me to go into dysregulation, or does things that trigger my cptsd. I've learned some ways of dealing with it but now when I don't give her the reaction she wants she has started escalating by leaving the house and having "falls" (she doesn't have ambulatory issues) because she LOVES going in ambulances and all the attention she gets while she's in the hospital. Her injuries have been the same almost every time it's happened. Her face is scrapped up but little or nothing on her hands, as if she purposely fell on her face and did nothing to try to stop it. At one point she did this during covid so I couldn't be at the hospital with her and the doctor called to say she claimed she couldn't feel or move her feet after hitting her head and they had done all the scans of her head and neck that would have ruled out her being paralyzed but everything was showing she should be fine and they were so confused. I told them I don't know for sure because I'm not a doctor obviously, but you might want to run a test where you offer her a coffee and tell her as soon her legs feel better and she can sit up to drink it, it will be right here for her. they did and she was miraculously healed from her paralysis. Another time I needed to take her for a follow up at a fracture clinic to check if she needed a cast and she refused to go with me in my car - she wanted an ambulance to come get her and take her to the clinic on a gurney because of her arm. She will also stop eating for long periods of time and say she's fasting because God told her too. When I say this is self harm I mean she will stop eating for 40 days and end up in the psyche ward on a feeding tube because she refuses to eat. she's harming herself but has some sort of justification or covert way of doing it and also gets all kids of attention. She's been doing things like this for as long as I can remember.

I had a 10 year marriage to a man with classic vulnerable NPD. (We were late middle-aged.) But probably many other mental health issues. His personality profile from marital counselor was scary! Histrionic over non-events. Abusive verbally and physically. Inability to keep jobs or maintain friendships. Inert unless he was up to no good eg cheating, spreading lies. But extremely under-functional in household. I was in fact shocked that someone his age had so little comprehension of normal things that go into basic home care and relationships. Such as But not nearly limited to family calendar, dryer lint filter, grocery list, ovens have to be cleaned. Leaving note when you go out. It was like living with a Conehead. Then always trying to control and teach ME how to do everything.
I single patented for several decades (2 children 20 years apart. Five college degrees. Professional career. I had to know how to run a home efficiently and well. And so, when he was always trying to change the way I ran the household- I knew he was FOS. He was less than polite and didn't offer to help. Just always telling me I was doing it all wrong
He was always looking for confirmation bias with outsiders. Always took all credit for house, garden, finances, children, pets. Took control and pretended my stuff wasn't mine. Started going to my friend's house without me - telling her how badly he was treated. Took all credit. She decided he sounded like a good catch.
I overheard plans that were rather sinister. Filed for divorce and order of protection. Submitted evidence on the truth about everything I knew he would lie about. I just started out by asking a few questions - immediately caught him in a lie. Just shrugged and let the judge take over.
My ex ran his mouth and told lie after lie. Judge kept catching him in lies and general admissions of bad behavior. I ended up with 80% of the house- which wasn't what he was expecting.
As soon as the judgement was made, he balled up his fist and punched himself fairly hard on thr side of his head. While we were both standing right in front of the judge.

Have you come across a narcissist who self-harms? hahahahaha
Every now and then she'll hit her face and once she strangled her neck leaving nail marks. Who do you think people blamed??? come on guess. Aha, you got that right, ME!?!?!?
At first, she'd just hit herself over the face or neck and everyone would blame me... some almost either called the police or wanted to give me the same marks but she'd stop them claiming she's the bigger person.
That's until she accidentally used her nails and that's when I could prove it wasn't me because I don't have nails duh. and people started to believe me and started pointing fingers at her. that's when she stopped.
I did, however, split her lip once, I know I messed up and did a very very bad thing, but after 3-4 hours of gaslighting for a few days straight, while I was trying to work from home during the pandemic, and me asking her repeatedly to stop without raising my voice or arguing back. I remember yelling STOP! and closing my eyes, next thing I knew she started bleeding, and she called 911(ambulance) while I went mad punching every wall in the house because of what I did..., I was lucky she needed me for cash and did not ask for the police. Stayed 3 more years with her and finally escaped from there.

My boyfriend just committed suicide this past Sunday. He was a vulnerable narc. He suffered a narc collapse and took his own life with his gun.

I had one that would hurt his self when he made up stories that made it seem like he saved the day. He made up a story that someone broke in his garage, they fought, and he beat the guy up and knocked him out, and he called the police. It was weird and creepy, because I didn’t see no police.

Yes, Mine was diagnosed with depression which requires medication (prozac). I had two opportunities to leave, once in couples therapy and another when I almost filed for divorce 11 years ago. Of course, I was love bombed and hoovered the first time I wanted to get a divorce. I put her self-centredness to narcissism, but I hadn't heard of pathological narcissism until recently. She drinks alcohol even though medicated with Prozac, which is a no-no. I confronted her about this several times. I think this combination clouded her judgment to the extent that she amputated the tip of a finger.
Anyway, somehow the topic of recreational marijuana came up and my wife said, "I hope that our state adopts this because I want to sit by the pool and get a buzz." Then she confesses to using recreational marijuana at least once. I have to admit I think she has probably done it more times than just once.
Just marijuana and prozac are a bad combination, which my wife who had worked in the pharmaceutical industry should have known. When I told my lawyer who is filing my divorce that she mixed alcohol and Prozac. And he interrupted to say, “alcohol, Prozac, and marijuana are a bad combination.” And I hadn’t even mentioned the marijuana at that point.

I’ve been in two relationships wherein I would be hurt or upset about something and I’d see this shocking, red fury flash across their faces and they’d start hitting themselves repeatedly. I did it once, too, in one of these relationships. I will ever do it again.

I'm a vulnerable narcissist (comorbid with BPD, OCD and others) and I have been cutting myself on and off for about 10 years (since I was ~16).
It feels a bit hurtful of you to assume we're doing this to manipulate others. I feel a great deal of guilt, whenever I feel like I do something like this for "attention", though I really only do that when I'm at my absolute wit's end. Oftentimes, I do it when I'm alone, it has to do with the tremendous emotional pain and internalized feelings of my emotions not being valid.
I would NEVER cut myself to intentionally manipulate anyone. If I end up doing that, it's really an inevitable consequence of the tremendous emotional pain, and I always try to put it away as much as I possibly can, as hurting others just isn't something, I take enjoyment in.

My NPD ex-husband would chew and pick at his nails until they only covered half of the nail bed they are supposed to cover. It was painful just to look at his fingers. He would do it until he would make himself bleed. When I confronted him about it and offered to look into ways to help him stop, he looked at me with angry, lifeless eyes and said slowly and deliberately, “I like the pain.” I left a month later after a 12 year relationship that had advanced to physical abuse after years of emotional abuse, manipulation, and control. I never looked back.

Yes... my narc bf has used self harm to manipulate me. The first time was in bed and I was falling asleep... he didn't like that... I was supposed to be up and paying attention to him. You can't go to bed until he says so, after all. I heard him saying "Oh man, that feels good..." and I opened my eyes to see him burning his own arm with a cigarette. He did this multiple times in our relationship.
In one of his past relationships he severely burned himself with a red hot fork in order to manipulate his ex. He said he intended to burn her but at the last moment decided to burn himself. Very sick.

I am married to a man that has a lot of childhood trauma. We have been married 6 yrs., together for 8 yrs. It is difficult to figure out. I feel like it is a mixture of BPD, NPD, bipolar, DID. I am at my white end. He loves me to the point of being obsessed but then hates me sometimes and accuses/threatens. There is no middle ground. It is a constant mind game. Trying to exit smoothly. Fearing he might stalk me.

Honestly too many. Both the grandiose who use it to manipulate and the vulnerable who use it to self-regulate, I also saw the malignant who used it to scene someone with a crime they didn't commit... All in one family, I am the scapegoat of.
I saw less normal (personality-wise) people self-harming than narcissists, and imho narcissists are more prone to self-harm after a traumatic past that non-narcissists would make it out of without self-harm, like they aren't emotionally resilient.
I'm a (luckily) non-narcissistic member of two narcissistic dynasties, am a scapegoat and saw all kinds of severe&repeated abuse including sexual abuse at 2 y/o, routine neglect, bullying, traffic accidents, murder attempts, trauma was my daily life. I am suffering from DID and c-PTSD, yet I don't self harm as much as my golden sisters who were put on a pedestal and treated like treasures do. Normally I would be more likely to self-harm, CSA, dissociation, PTSD... But my golden sister, who is a full-blown grandiose narcissist now with no history of "typical" abuse and neglect, used to cut herself bc her teacher didn't pay "enough" attention to her at class that week... The enough here being not focusing solely on her and stuff.
Like that's all it got for her to injure herself. It was so weird seeing someone so full of herself going so far to hurt herself at the same time.
My malignant NPDd mom, who got diagnosed after her scapegoat (me) left and she collapsed, multiple times used suicide as a weapon, and projected even that trait on me when I was suffering from suicidal thoughts during a major depressive episode, saying I was just manipulating her, wasn't seriously suicidal and guilt-tripping them to take care of me.
Everything comes after their egos, your health, their health, your life, even their own lives sometimes. The holy ego is everything. And we are all nothings in its disposal.